T cell immune memory after covid-19 and vaccination

Lulu Wang, Alex Nicols, Lance Turtle, Alex Richter, Christopher JA Duncan, Susanna J Dunachie, Paul Klenerman, Rebecca P Payne*

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

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    Abstract

    The T cell memory response is a crucial component of adaptive immunity responsible for limiting or preventing viral reinfection. T cell memory after infection with the SARS-CoV-2 virus or vaccination is broad, and spans multiple viral proteins and epitopes, about 20 in each individual. So far the T cell memory response is long lasting and provides a high level of cross reactivity and hence resistance to viral escape by variants of the SARS-CoV-2 virus, such as the omicron variant. All current vaccine regimens tested produce robust T cell memory responses, and heterologous regimens will probably enhance protective responses through increased breadth. T cell memory could have a major role in protecting against severe covid-19 disease through rapid viral clearance and early presentation of epitopes, and the presence of cross reactive T cells might enhance this protection. T cell memory is likely to provide ongoing protection against admission to hospital and death, and the development of a pan-coronovirus vaccine might future proof against new pandemic strains.
    Original languageEnglish
    Article numbere000468
    Number of pages16
    JournalBMJ Medicine
    Volume2
    Issue number1
    DOIs
    Publication statusPublished - 22 Nov 2023

    Bibliographical note

    Funding:
    CJAD is funded by a fellowship from Wellcome (211153/Z/18/Z), MRC (MR/X001598/1), and additional grants from MRC. LT is supported by the Wellcome Trust (grant 205228/Z/16/Z) and the US Food and Drug Administration Medical Countermeasures Initiative contract 75F40120C00085. RP is funded by a Wellcome Career Re-entry Fellowship (grant 204721/Z/16/Z) and additional grants from MRC. SJD has received research funding grants from Wellcome (grants MR/X009297/1, MR/W02067X/1, and MR/W020653/1), UK Department of Health and Social Care, UK National Institute for Health and Care Research (NIHR) (grant NIHR30079), and US Defense Threat Reduction Agency. AR is funded by UK NIHR (grant NIHR135830) and additional grants from MRC. PK is funded by Wellcome (grant 222426/Z/21/Z). LT and PK are supported by the NIHR Health Protection Research Unit (NIHR HPRU) in emerging and zoonotic infections (NIHR200907) at the University of Liverpool in partnership with Public Health England (PHE) in collaboration with the Liverpool School of Tropical Medicine and the University of Oxford. The funders had no role in considering the study design or in the collection, analysis, interpretation of data, writing of the report, or decision to submit the article for publication.

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